Most Relevant Information
Provider Data
| NPI Number: | 1003195074 |
| Provider Name: | KELSEY A TIEMANN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26024049A |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
1030 JEFFERSON AVE
MEMPHIS
TN
381042127
Practice Location Phone/Fax
| Phone: | 9015238990 |
| Fax: |
Provider Mailing Location
1400 RIVER LOOK CIR APT 301
MEMPHIS
TN
381037926
Provider Mailing Phone/Fax
| Phone: | 3175171026 |
| Fax: |